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Ann Thorac Surg 2004;78:1070-1072
© 2004 The Society of Thoracic Surgeons

Case report

Diagnostic criteria for penetrating atheromatous ulcer of the thoracic aorta

Shigeki Kimura, MDa, Makoto Noda, MDa,*, Michio Usui, MDa, Mitsuaki Isobe, MDb

a Department of Cardiology, Haibara General Hospital, Shizuoka, Japan
b Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Noda, Department of Cardiology, Haibara General Hospital, 2887-1 Hosoe, Haibara, Shizuoka 421-0421, Japan
mnoda-circ{at}umin.ac.jp

An autopsy case of penetrating atheromatous ulcer of the ascending thoracic aorta is presented. The triplet imaging findings of mediastinal dilatation, interstitial pulmonary hemorrhage and pericardial effusion were diagnostic for penetrating atheromatous ulcer at the posterior wall of the ascending thoracic aorta. Immediate surgical treatment is indicated when these three findings emerge during examination.




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